Individual provider · Type 1 NPI

Theresa Nicholson, DPT

Pediatric Physical Therapist · Decatur, GA

NPI number 1336891183 Active

Practice location

2107 N Decatur Rd Unit 506
Decatur, GA 30033-5305

Fax (770) 626-0089

Other practice locations

  • 1240 Highway 54 W Ste 404, Fayetteville, GA 30214-4564 · (470) 615-0485

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist 2251X0800XPT015743 (GA)
Pediatric Physical Therapist Primary 2251P0200XPT015743 (GA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

2 other providers at this address

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About NPI 1336891183

Theresa Nicholson, DPT's National Provider Identifier is 1336891183, issued on Jan 24, 2022. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Decatur, GA. The record was last updated on May 28, 2025.